Starter Package-Essential Billing
Insurance Claim Submission
Our dental billing team ensures that insurance claims are submitted accurately and promptly to maximize reimbursement for your practice. We review procedures, CDT codes, patient information, and insurance details before submitting claims electronically through the appropriate clearinghouse. By focusing on clean claim submission and proper documentation, we help reduce claim rejections and improve your practice’s cash flow.
Payment Posting
Accurate payment posting is essential for maintaining clean patient ledgers and tracking insurance reimbursements. Our team posts insurance payments and adjustments directly into your practice management software, ensuring that accounts remain up to date. This process allows your dental office to quickly identify remaining patient balances, track insurance payments, and maintain accurate financial reporting.
Basic Insurance Verification
We perform basic dental insurance verification to confirm patient eligibility and active coverage prior to treatment. Our team reviews key benefit details such as plan status, coverage percentages, deductibles, and annual maximums. This helps your practice reduce unexpected claim denials and ensures patients receive accurate estimates before services are performed.
Monthly Aging Report
Each month, we provide a detailed accounts receivable aging report so your practice can clearly see outstanding insurance balances. This report helps identify unpaid claims, aging accounts, and potential reimbursement delays. By monitoring A/R trends, your dental practice can better understand the health of its revenue cycle and identify opportunities to improve collections.
Denial Identification (No Appeals)
Our team monitors submitted claims and identifies insurance denials or issues that may prevent reimbursement. We review claim responses, clearinghouse reports, and payer communications to flag problems such as missing information, eligibility issues, or coding errors. While this package focuses on identifying denials rather than appealing them, our reporting allows your practice to quickly address issues and prevent revenue loss.
Growth Package-Revenue Builder
Designed for dental practices that want to move beyond basic billing and actively improve collections, reduce insurance delays, and strengthen their revenue cycle management. This package includes everything from the Essential Billing PLUS the following services:
Insurance Verification with Benefit Breakdown
Our team performs detailed dental insurance verification to ensure your office has a complete understanding of each patient’s benefits before treatment is scheduled. In addition to confirming eligibility, we provide a full breakdown of coverage including remaining deductibles and maximums, coverage percentages, frequency limitations, waiting periods, and patient history for preventative services. Accurate insurance verification helps your practice provide reliable treatment estimates, reduce claim denials, and improve patient satisfaction.
Pre-Authorizations
For procedures that require prior approval, our team prepares and submits dental insurance pre-authorizations to confirm coverage before treatment begins. We gather the necessary documentation such as narratives, clinical notes, and supporting images when required. By securing pre-authorizations in advance, we help your practice minimize claim denials and give patients clarity about their insurance benefits and expected out-of-pocket costs.
Claim Follow-Ups
Insurance follow-up is critical to maintaining healthy cash flow. Our billing specialists monitor outstanding claims and proactively follow up with insurance companies to ensure timely processing and payment. We track claim status, respond to payer requests for additional information, and work to resolve delays so your dental practice can receive reimbursement as quickly as possible.
Denial Management & Appeals
When insurance claims are denied, our team investigates the reason and takes appropriate action to resolve the issue. We review denial codes, correct errors when necessary, and prepare claim appeals with proper documentation and narratives. Effective denial management helps recover lost revenue and ensures your practice receives the reimbursement it deserves for services already performed.
Limited A/R Cleanup
If your practice has aging insurance claims that have not been worked recently, we provide targeted accounts receivable cleanup to recover outstanding balances. Our team reviews older claims, identifies issues preventing payment, and takes corrective action when possible. This process helps reduce aging A/R and recover revenue that might otherwise be written off.
Monthly Performance Review
Each month we provide a summary of billing activity and key revenue cycle metrics so you can stay informed about your practice’s financial performance. This may include a review of accounts receivable, claim status trends, and areas where improvements can be made. Our goal is to provide transparency and help your practice continuously improve billing efficiency and collections.